Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.00 / $324.00 / $388.80	Facility		$324.00	$324.00	$388.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $324.00 / $324.00	Professional		$275.39	$324.00	$324.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.89 / $315.89 / $315.89	Professional		$315.89	$315.89	$315.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Facility		$302.39	$302.39	$302.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Professional		$302.39	$302.39	$302.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $307.80 / $648.00 / $1,215.00	Facility		$307.80	$648.00	$1,215.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $324.00 / $324.00 / $463.32	Facility		$324.00	$324.00	$463.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $188.49 / $188.49 / $243.92	Facility		$188.49	$188.49	$243.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $302.39 / $463.32	Facility		$302.39	$302.39	$463.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Professional		$302.39	$302.39	$302.39
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
United Facility/Professional Professional Modifier Low / Median / High Price $234.97 / $291.86 / $324.00	Professional		$234.97	$291.86	$324.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.35 / $275.39	Professional		$1.00	$1.35	$275.39